When he held up his left hand, his middle fingertip was barely attached.
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Inspectors noted that actual harm had occurred, and that an investigation and outbreak line listing report would need to be completed.
The LPN observed the resident seizing, with blood coming from the back of her head and breathing that sounded like a snore.
A hospice provider was involved in the resident's care.
Federal inspectors documented the hazards during a complaint inspection completed October 6, 2025.
She needed two staff members just to get dressed or repositioned.
What happened next is disputed.
The resident, identified in the report as R2, was a high fall risk who required a one-person assist with a gait belt to move around.
Haloperidol is among the more potent antipsychotic drugs used in long-term care.
When inspectors asked the nursing home administrator to produce those records, he said he couldn't.
The allergy contraindication was in the electronic record.
"It's hard to keep up," she said.